Document Detail

Aortic translocation, Senning procedure and right ventricular outflow tract augmentation for congenitally corrected transposition, ventricular septal defect and pulmonary stenosis.
MedLine Citation:
PMID:  18353668     Owner:  NLM     Status:  MEDLINE    
The management of congenitally corrected transposition of the great arteries and associated lesions is frequently challenging. Significant pulmonary stenosis is a contraindication to the conventional double-switch. Instead repair may be accomplished by the Rastelli-Senning procedure, using an extracardiac conduit to achieve continuity between the morphological left ventricle and the pulmonary arteries. This however can be accompanied by conduit and intra-ventricular baffle-related problems that can necessitate surgical re-intervention and lead to late mortality. We describe the use of aortic translocation, Senning procedure and reconstruction of the right ventricular outflow tract using autologous tissue and valved homograft to facilitate anatomical correction in congenitally corrected transposition. The advantages of this technique in this group of patients and the implications for conduction tissue are discussed.
Ben Davies; Guido Oppido; James L Wilkinson; Christian Pierre Brizard
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-18
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  33     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-21     Completed Date:  2008-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  934-6     Citation Subset:  IM    
Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.
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MeSH Terms
Aorta / surgery*
Heart Septal Defects, Ventricular / surgery*
Pulmonary Artery / transplantation
Pulmonary Valve Stenosis / surgery*
Transplantation, Autologous
Transplantation, Homologous
Transposition of Great Vessels / surgery*

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